CMS NPPES recorded 192 deactivations in the Physicians segment during the week of Aug. 24–30, 2026. Hipa.ai’s name cache retrieved names for 188 records, meaning nearly all records in the weekly file could be identified by name. California led the state totals with 26 deactivations, followed by Texas with 18. The file included 170 individuals and 18 organizations.
California Leads State Activity
California accounted for 14% of the week’s deactivations, ahead of Texas at 10%. New York and Florida each recorded 14 deactivations, or 7%. Michigan, Illinois and Massachusetts followed with 8 deactivations each, while Arizona had 7. Maryland and Virginia each recorded 6, and Kentucky, Ohio and Pennsylvania each had 5.
The geographic pattern is distributed across major and regional healthcare markets rather than concentrated in a single area. California, Texas, New York and Florida together form the leading group, while activity in Michigan, Illinois, Massachusetts and Arizona points to continued registry turnover across varied provider systems. At the city level, Gillette, Wyoming; Miami, Florida; and Los Angeles, California each had 3 deactivations. Several other cities, including Scottsdale, New York, Covington, Bowling Green, Vienna, Sacramento and San Antonio, recorded 2 each.
Primary Care Tops Taxonomies
Family Medicine was the leading retired taxonomy among named providers, with 39 deactivations, or 21% of the named-provider total. Psychiatry followed with 22 deactivations, or 12%, while Internal Medicine had 16, or 9%. Emergency Medicine accounted for 12, Pediatrics for 10, and Ophthalmology and Anesthesiology for 7 each.
Diagnostic Radiology appeared in 6 deactivations, followed by Surgery with 5 and Cardiovascular Disease with 4. The mix spans primary care, behavioral health, acute care and procedural specialties. Family Medicine and Internal Medicine together show substantial activity in broad-based adult and family care, while Psychiatry’s position reflects turnover in a specialty that serves both outpatient and institutional settings. These taxonomy counts describe the classifications attached to records, not confirmed departures from active practice.
Registry Status Is Not Practice Status
Four records were scrubbed by CMS: the total count is from CMS, while the named subset is what Hipa.ai’s name cache captured before CMS removed identifying information. An NPI deactivation is an administrative registry change and may reflect maintenance, retirement, organizational consolidation, a move to a new NPI or other administrative circumstances. The weekly file therefore measures registry churn, not a confirmed count of physicians leaving the workforce; providers may re-register under a different NPI or continue practicing through another organizational identity.
